Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES BUCKLEY GILLOCK, MD
ActiveCHARLES BUCKLEY GILLOCK, MD is a Urology healthcare provider located in STUARTS DRAFT, Virginia. NPI 1053309229 is currently active in the NPPES registry. Verify at CMS.
Urology · STUARTS DRAFT, VA
Registration Details
- NPI Number
- 1053309229
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 11, 2005 (20.882111369628 yrs)
- Last Updated
- May 26, 2022
- License
-
0101047505 (VA)
Practice Information
- Address
-
24 GLOUCESTER RDSTUARTS DRAFT, VA, 244773321Browse VA providers · Browse ZIP 24477
- Phone
- 5403373710
- Fax
- 5403370930
- Primary Specialty
-
Urology
208800000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.